Week 2 - Class 1 Flashcards
What is strengths-based nursing care?
- Client is of centre of care
- Identification of client goals
- What is working for that patient, does not discount complexities
Why a strengths based approach to care?
- Partnership/commitment to help patient develop
What nursing values underlie strengths based nursing care?
- Holism
- Person
- Environment
- Partnership
- Healing
Why is it important to explore essential nursing qualities?
The way the nurse presents themselves can affect the PT interaction
What are 4 essential qualities of a nurse?
Strengths of mindset, knowledge and knowing, relationships, advocacy
What is the first subcategory of strengths of mindset?
Relationship to SBC?
Mindfulness: Being present and aware
Relationship to SBC:
- Allows the nurse to be present in the moment with the client
- Decreases distractions, increases noticing
- Helps nurse separate own needs from those of the client
What is the second subcategory of strengths of mindset?
Relationship to SBC:
Humility: Understanding ones strengths and limitations
Relationship to SBC:
- Helps the nurse learn from others
- Helps nurses to share knowledge and expertise
- Fosters collaborative partnership
What is the third subcategory of strengths of mindset?
Relationship to SBC:
Open-mindedness: Open to different ideas and opinions
Relationship to SBC:
- Helps nurse to accept differences
- Prevents “snap” judgments or drawing conclusions from faulty assumptions
What is the fourth subcategory of strengths of mindset?
Relationship to SBC:
Non-judgmental attitude: acceptance of others’ values, behaviours or perspectives.
Relationship to SBC:
- Helps nurse remain respectful of others
- Helps promote trust in the relationship
What is necessary to achieve strength of mindset? Explain.
Self-awareness
‘A multidimensional, introspective process used to become aware of, scrutinize, and understand one’s thoughts, feelings, convictions, and values on an ongoing basis, with the use of this understanding to consciously and authentically guide behaviour.’
What am I doing when I am being self aware?
1) Engage in introspection
2) Engage in reflection
3) Understand my personal values
4) Recognize the right of others to make choice consistent with their values and which may differ from one’s own
What is the first subcategory of strengths of knowledge and knowing?
Relationship to SBC:
Curiosity: A person’s innate or intrinsic desire for experience and knowledge
Relationship to SBC
- Leads to greater discoveries and understanding of client/family
What is the second subcategory of strengths of knowledge and knowing?
Relationship to SBC:
Self-reflection: the capacity to examine critically one’s own thoughts, emotions, and actions as well as those of another person
Relationship to SBC:
- Increases awareness of own limitations and biases
- Helps nurse to make adjustments to care as necessary
- Helps to tailor care to each individual situation
- Helps nurse to recognize feelings that may interfere with nurse client relationship
What is the first subcategory of strengths of relationships?
Relationship to SBC:
Respect and trust: the cornerstones of any relationship
Relationship to SBC:
- Increases likelihood that client will open up
- Promotes autonomy
What is the second subcategory of strengths of relationships?
Relationship to SBC:
Empathy: The most essential ingredient that bridges the divide between nurse and patient
- “How would you feel if you were that PT” - you never know what a person is going through
Relationship to SBC:
- Helps the nurse gain insight into clients strengths/weaknesses
- Increases client satisfaction with care; decreases distress and anxiety
What is the third subcategory of strengths of relationships?
Relationship to SBC:
Compassion and kindness: Fundamental way of behaving toward another human being
Relationship to SBC:
- Helps the nurse to see the client as a human being and not an illness or disease
- Helps soften the impact of negative events
What is the first subcategory of strengths of advocacy?
Relationship to SBC:
Courage: Standing up for beliefs and fighting for what is right
Relationship to SBC:
- Helps nurse and client to take charge and feel empowered
What is the second subcategory of strengths of advocacy?
Relationship to SBC:
Self-efficacy: Potential to attain desired goal - feeling empowered
Relationship to SBC:
- Empowers nurse and client to achieve goals and change the future
- Promotes a “can-do” attitudes to overcome obstacles
Why is reflection critical to develop essential nurse qualities?
Self-reflection is important to develop nurse qualities because it allows us to become aware of not only of our strengths but our weaknesses too
What are a few definitions scholars have made about reflection?
“The turning over of a subject in the mind and giving it serious and consecutive consideration” - Dewey (1933)
“Reflection can lead to greater self-awareness … it is a necessary stage in both personal and professional contexts” - Branch & Paranjape (2002)
“The process of making sense of events, situations, and actions that occur in the workplace” - Oelofsen (2012)
What is reflection?
- Noticing
- Mindful practice
- Tolerating uncertainty
- Developing new insights
- Repeated cycles of action, reflection, action
- Not intuitive
What are 2 skills needed for reflection?
1) Self-awareness
- Self and feelings based
- Analyze feelings
2) Critical thinking
- Objective
- Examining components of situation
- Knowledge, relationships, exploring alternatives
Reflection in nursing:
1) What is it?
2) Why we do it?
1) What:
- More than thinking about practice
- Intentional process of thinking, analyzing, and learning
- Thinking about our thinking
- Ways to identify learning needs
- A commitment to action
2) Why?
- To learn
- To develop relationships
- Personal and professional development
- Professional expectation of CNO
- Engage in reflection and develop learning plan annually
- Demonstrates a commitment to lifelong learning and continuing competence
